HomeMy WebLinkAboutPermit Signage 2010-3-22
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FAX: (541)726.3689
225 fIlTH STREIT . SPRINGfIELD, OR 97477 . PH:(54!)7~6.3 53
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I . (r:)lBuildingFon:ISJB.a:rmct]ortablcSip1Pc:rmitCSD7-08.doc
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00416
ISSUED: 04/05/2010
APPLIED: 04/05/2010
EXPIRES: 10/05/2010
VALUE:
SITE ADDRESS: 1805 PIONEER PARKWAY EAST
ASSESSOR'S PARCEL NO.: 17037:62302001
Springfield TYPE OF WORK: Sign
.. TYPE OF USE: Commercial
PROJECT DESCRIPTION: Portable Sign-.Removal.Date"5/"~/JQ~Refund to V.in Mehta, 4150 Paciflic Hwy, Suite B,
Medford, OR 97501.
Owner:
Address:
TABATA FAMILY TRUST
PO BOX 4900
SCOTTSDALE AZ 85261
TABATA EVELYN TE
9330 BALBOA AVE
SAN DIEGO CA 92123
Owner:
Address:
Contractor Type
c:ontractor
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
ATTENTION: :Oregon law requIres you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies 01 the rutes by
r.RlIinn the center. (Note: the tele~hone
rumber lor the Oregon Uti',%: Notllcatlon
CON~~1H~'1J\DJIOO ~4G}\l ~
License
A2
" I BUILDING INFORMATlON~
" # ot' Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
n/a
I DEVELOPMENT INFORMATION ~
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS ~
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
",'
Sidewalk Type:
Downspouts/Drains:
,
,
Paee I of 2
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CITY OF SPRINGFIELD,
Building/Combination Permit
PERMIT NO: COM2010-00416
ISSUED: 04/05/2010
APPLIED: 04/05/2010
EXPIRES: 10/05/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
Type of Constrnction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fees Paid _
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$20.00 .
$5.00, ii:'
SI00.00"'"",
S100.00 ..
i I'
,;$", ,W."."
4/5/10
4/5/10
.., 4/5/10
4/5/10
2201000000000000319
2201000000000000319
2201000000000000319
2201000000000000319
Total Amount Paid
$225.00
I Plan Reviews i
.'
To Request an inspection call the 24 hour recording 'at 726~'3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
, '
work day.
Rea'uired InsDections .
Banner Removal: To be requested the day following the expiration of the permit. If inspection is not reqnested,
the applicant may forfiet the deposit.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further 'certify;that any and all work performed shall be done in accorciance with
. '.-' ,
the Ordinances of the City of Springfield and the Laws of.the,St'ate of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure'without permission of the Community Services Division, Bnilding Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensnre that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of t~e property, and the approved set of pia os will remain on the site at all
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Owhi>r'or Contractors Signature
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Date
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2:0 fO
Page 2 01'2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000319
Date: 04/05/2010
I] :33:43AM
Job/Journal Number
COM20 I 0-00416
COM2010-00416
COM2010-00416
COM2010-00416
Payments:
Type of Payment
Check
cReceintl
Description
Banner Special Permit
Deposit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
VR INC.
. . Check Number
Recei~ed By'" Batch Number
KLK
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Page] of I
Item Total:
Authorization
Number How Received
Amount Due
]00.00
100.00
5.00
20.00
$225.00
Amount Paid
27047
$225.00
- $225.00
KLK In Person
Payment Total:
4/5/20 I 0